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Organization

NORTH VALLEY EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULES R JACKSON (BILLING OPERATIONS DIRECTOR)
(530) 891-1900
Entity
Organization

Contact information

Practice address
114 MISSION RANCH BLVD, SUITE 50, CHICO, CA 95926-5137
(530) 891-1900
(530) 895-1531
Mailing address
114 MISSION RANCH BLVD, SUITE 50, CHICO, CA 95926-5137
(530) 891-1900
(530) 895-1531

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
CA
207W00000X
Ophthalmology Physician
Primary
CA
208D00000X
General Practice Physician
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DP9901
RAILROAD MEDICARE
CA
Enumeration date
07/23/2008
Last updated
08/28/2013
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